| NPI | 1972212116 |
|---|---|
| Doing Business As | QUADRIVIUM HEALTH LLC |
| Doing Business As | AMERICAN FAMILY CARE |
| Doing Business As | BOLD LEGACY MANAGEMENT, LLC |
| Entity Type | Organization |
| Authorized Contact | LEIA CHATMAN DAWSON Medical Director 205-907-5342 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2022-11-16 |
| Last Update Date | 2024-01-05 |